Individual
MRS. MARY E HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3430 NEWBURG ROAD, SUITE 111, LOUISVILLE, KY 40218-2445
(502) 451-6886
(502) 458-2158
Mailing address
3430 NEWBURG ROAD, SUITE 111, LOUISVILLE, KY 40218-2445
(502) 451-6886
(502) 458-2158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001811
KY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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